Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | Q4406 | TX |
NPI | 1558612119 |
---|---|
Provider Name | Dr. Taggart T Gauvain |
First Address | Houston, TX 77030-1526 |
Second Address | Pearland, TX 77584-3773 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2012 |
Last Update Date | 12/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
361189901 | (05) | TX |